Abstract

Some studies have shown that levels of MicroRNA (miR)-223 derived from platelets in the plasma are reduced following inhibition of platelet function, while others have shown a correlation between low plasma miR-223 and high on-treatment platelet reactivity. The present study seeks to investigate the role of miR-223 in arterial thrombosis. A model of photochemical-induced carotid thrombosis was applied to miR-223 deficient mice and littermate (WT) controls. Mice deficient in miR-223 exhibited significantly prolonged times to occlusive thrombosis compared to WT mice indicating a protective effect of miR-223 deficiency. Bone marrow transplantation experiments confirmed that the hematopoietic pool of miR-223 was responsible for differences in thrombosis times. Transfusion of either WT platelets or extracellular vesicles derived from WT platelets were both sufficient to shorten thrombosis times in miR-223 deficient recipients. The effect of platelet transfusions on IGF-1R was explored. These experiments revealed that vascular IGF-1R was down-regulated by platelet miR-223. Furthermore, inhibition of IGF-1R abolished the protection conferred by miR-223 deficiency on thrombosis. In conclusion, platelet miR-223 is a regulator of arterial thrombosis following endothelial injury through effects on vascular wall IGF-1R. This study indicates that platelet miR-223 is a potential therapeutic target for prevention of arterial thrombosis.

Highlights

  • Arterial thrombosis was defined as flow cessation for at least 10 minutes

  • To determine whether extracellular vesicles (ECVs) isolated from platelets were sufficient to affect the thrombosis phenotype, we examined the effect of ECV transfusion, isolated from WT or miR-223 deficient platelets, to recipient miR-223 deficient mice on arterial thrombosis

  • Consistent with previous studies that have demonstrated hematopoietic miR-223 may be transferred to other cell types such as endothelial cells[8, 9], and affect properties of endothelial cells[14], we demonstrated that platelet-to-endothelial transfer of miR-223 regulates thrombosis and that this effect is related to changes in vascular insulin growth factor-1 receptor (IGF-1R) expression

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Summary

Results and Discussion

To investigate the role of miR-223 on arterial thrombosis following endothelial injury, we performed rose bengal photochemical injury to the carotid arteries of WT and miR-223 deficient mice. MiR-223 deficient mice exhibited significantly prolonged times to occlusive thrombosis compared to WT mice (Fig. 1A), indicating a protective effect of miR- 223 deficiency on thrombosis in this model. The time to occlusive thrombosis in WT mice receiving bone marrow from miR-223 deficient mice was markedly prolonged and similar to times observed in non-transplanted miR223 deficient mice (Fig. 2) These data establish the hematopoietic pool of miR-223 as playing a regulatory role in carotid thrombosis following endothelial injury. After washing bEnd[3] cells and isolating RNA, expression of miR-223 was increased in bEnd[3] cells incubated with WT ECVs (Fig. 4A) To validate this platelet-to-endothelial miR-223 transfer in a more physiological setting, miR-223 expression was analyzed in the carotid arterial wall following injury from miR-223 deficient recipients that received WT platelet transfusions. This study indicates that inhibition of platelet miR-223, or activation of its downstream target IGFR1, are potential therapeutic strategies for prevention of arterial thrombosis

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